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Organization

PRINCESS ONE CHIROPRACTIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH A DEGIORGIO DC (OWNER)
(757) 471-9008
Entity
Organization

Contact information

Practice address
3809 PRINCESS ANNE RD STE 117, VIRGINIA BEACH, VA 23456-1900
(757) 471-9008
(757) 965-6256
Mailing address
3192 WINTERBERRY LN, VIRGINIA BEACH, VA 23453-5952

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001829
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102595
ANTHEM PROVIDER NUMBER
VA
01
1842017
UNITEDHEALTHCARE PROVIDER
VA
01
2442006
UNITEDHEALTHCARE GROUP#
VA
01
3651805
CIGNA PROVIDER NUMBER
VA
01
39060
OPTIMA PROVIDER #
VA
01
5698700
AETNA PROVIDER NUMBER
VA
Enumeration date
06/05/2007
Last updated
08/22/2020
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